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KLINIK PRATAMA MEDIKA PRATAMA 2

SIO NO. 445-93/IO-KLINIK/0010/2020/DPMPTSP


Jalan Raya Bandung Garut KM. 21 No. 26 A RT.03/02 Desa Bojongloa Kecamatan Rancaekek
Kabupaten Bandung 40394 ( ph.022-87830370)

LEMBAR RENCANA ASUHAN MEDIS DAN EDUKASI

Nama Pasien : ............................................................ No. RM : ......................


Alamat : ....................................................................................................

RENCANA ASUHAN MEDIS EDUKASI


 Diagnosa o Sudah diedukasi
........................................................................... o Belum diedukasi
...........................................................................
 Pemeriksaan Penunjang o Sudah diedukasi
o Laboratorium o Belum diedukasi
o Radiologi
o USG
o ECG
o Lain-lain ....................................
 Tindakan o Sudah diedukasi
........................................................................... o Belum diedukasi
...........................................................................
...........................................................................
 Pengobatan o Sudah diedukasi
............................................................................. o Belum diedukasi
.............................................................................
.............................................................................
.............................................................................
 Prognosa o Sudah diedukasi
............................................................................ o Belum diedukasi
............................................................................
KLINIK PRATAMA MEDIKA PRATAMA 2
SIO NO. 445-93/IO-KLINIK/0010/2020/DPMPTSP
Jalan Raya Bandung Garut KM. 21 No. 26 A RT.03/02 Desa Bojongloa Kecamatan Rancaekek
Kabupaten Bandung 40394 ( ph.022-87830370)

 KTD yang mungkin terjadi o Sudah diedukasi

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KLINIK PRATAMA MEDIKA PRATAMA 2
SIO NO. 445-93/IO-KLINIK/0010/2020/DPMPTSP
Jalan Raya Bandung Garut KM. 21 No. 26 A RT.03/02 Desa Bojongloa Kecamatan Rancaekek
Kabupaten Bandung 40394 ( ph.022-87830370)

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